Ambulance pre-notifies your tertiary trauma centre of a 42-year-old man after an unwitnessed quad-bike rollover on a farm. He has a scalp wound, bilateral rib fractures and a pelvic injury. His RR is 22/min, SpO2 97% on high-flow oxygen, HR 125/min, BP 85/40 and GCS 14 after 1.5 L Hartmann's.
On arrival his airway is patent with a hard collar in place. He has bilateral rib tenderness, remains clinically shocked at BP 80/35 and pulse 130, GCS 14 with equal 3 mm pupils, temperature 34 degrees C and glucose 8.0 mmol/L. Further assessment shows an oozing scalp laceration, open right tibial fracture, negative eFAST, right rib fractures 5-7 on CXR and multiple right pelvic fractures extending into the acetabulum and pubic rami.
State three (3) important steps in preparation before the patient arrives.
(Marked out of 3.0)
/ 3
List two (2) key principles of fluid resuscitation and two (2) key principles of disposition if he remains haemodynamically unstable.
(Marked out of 4.0)
/ 4
List five (5) other immediate management priorities for this patient in relation to haemorrhagic shock.
(Marked out of 5.0)
/ 5
Total Score: 0 / 12
Percentage: 0%
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